NPI | 1912403684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-52068) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2018-04-02 |
Last Update Date | 2022-02-23 |